Individual
DR. MOMO TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 W CEDAR ST, NORWALK, CT 06854-1917
(203) 854-9960
Mailing address
27 FAIRFIELD AVE APT A2, NORWALK, CT 06854-2143
(919) 607-3642
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
003963
CT
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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